US12076010B2ActiveUtilityA1

Surgical instrument cartridge sensor assemblies

91
Assignee: CILAG GMBH INTPriority: Dec 28, 2017Filed: Sep 16, 2020Granted: Sep 3, 2024
Est. expiryDec 28, 2037(~11.5 yrs left)· nominal 20-yr term from priority
A61B 2017/2927A61B 34/35A61B 2090/064A61B 2034/744A61B 2018/00702A61B 2017/07285G16H 40/63A61B 2218/002A61B 2017/00938A61B 90/361A61B 2018/00726A61B 2034/2046A61B 5/053A61F 7/00A61B 2034/2059A61B 2017/00061A61B 5/4848A61B 2018/00875A61B 2017/00022A61B 2017/00115A61B 1/00011A61B 2034/742A61B 2217/002A61B 2090/065A61B 2090/061A61B 2018/00607A61B 2017/00398A61B 18/085A61B 2090/066A61B 5/01A61B 2090/0811A61B 18/1206A61B 2090/0807A61B 34/74A61B 34/20A61B 2562/08A61B 2034/743A61B 2018/1455A61B 2017/00734A61B 2018/00767A61B 2017/00017A61B 5/0053A61B 2018/1273A61B 2018/0072A61B 2562/0247A61B 2017/00199A61B 2090/364A61B 2017/07214A61B 2018/00994A61B 18/10A61B 2034/2051A61B 2017/07257A61B 2018/00791A61B 2018/00642A61B 17/29A61B 2218/006A61B 2217/007A61B 2217/005A61B 2018/126A61B 2018/1253A61B 2018/00982A61B 2018/0063A61B 2018/00601A61B 2017/07271A61B 2017/00221A61B 2017/00084A61B 2017/00026A61B 90/98A61B 90/96A61B 90/37A61B 34/37A61B 18/1445A61B 17/320092A61B 2218/008G16H 10/60G16H 50/20G16H 20/40A61B 17/07207
91
PatentIndex Score
2
Cited by
2,896
References
10
Claims

Abstract

Various cartridge assemblies for surgical instruments are provided. Cartridge assemblies can include active sensors for applying stimuli to a tissue clamped by an end effector of the surgical instrument and a circuit configured to determine a tissue type of the tissue according to a change in the tissue parameter detected by the sensor resulting from a stimulus from the active element. Cartridge assemblies can also include physical features and/or stored data that identify the cartridge. Surgical instruments further can be configured to resolve conflicts when the physical features and/or stored data are not consistent with each other in their identification of the cartridge type.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
       1. A staple cartridge assembly for use with a surgical stapling tool of a robotic surgical system configured to grasp patient tissue, wherein the robotic surgical system comprises a communication hub, the staple cartridge assembly comprising:
 an anvil; 
 a cartridge body, comprising:
 a deck comprising a proximal end and a distal end; 
 a longitudinal slot extending from the proximal end toward the distal end; and 
 staple cavities defined in the deck; 
 
 staples removably stored in the staple cavities, wherein the staples are ejected from the staple cavities and deformed against the anvil during a staple firing stroke; and 
 a circuit, comprising:
 an active element coupled to the deck of the cartridge body and configured to apply, when energized, a pressure to the patient tissue positioned between the deck and the anvil; 
 a sensor coupled to the deck and configured to take an impedance measurement of the patient tissue positioned between the deck and the anvil while the active element applies the pressure to the patient tissue, wherein the circuit is configured to communicate with the communication hub to transmit the impedance measurement to the communication hub, and wherein the communication hub is located remote from the staple cartridge assembly and the surgical stapling tool. 
 
 
     
     
       2. The staple cartridge assembly of  claim 1 , wherein the robotic surgical system comprises a closure motor operable to move the anvil from an open position to clamped position, wherein the communication hub is in communication with a closure motor control circuit of the robotic surgical system, and wherein the communication hub is configured to control the closure motor through the closure motor control circuit. 
     
     
       3. The staple cartridge assembly of  claim 1 , wherein the robotic surgical system comprises a firing motor operable to move a firing member through the staple firing stroke, wherein the communication hub is in communication with a firing motor control circuit of the robotic surgical system, and wherein the communication hub is configured to control the firing motor through the firing motor control circuit. 
     
     
       4. A staple cartridge assembly for use with a surgical stapling tool of a robotic surgical system configured to grasp patient tissue, wherein the robotic surgical system comprises a communication hub, wherein the robotic surgical system comprises a firing motor operable to move a firing member through the staple firing stroke, wherein the communication hub is in communication with a firing motor control circuit of the robotic surgical system, wherein the communication hub is configured to control the firing motor through the firing motor control circuit, the staple cartridge assembly comprising:
 an anvil; 
 a cartridge body, comprising:
 a deck comprising a proximal end and a distal end; 
 a longitudinal slot extending from the proximal end toward the distal end; and 
 staple cavities defined in the deck; 
 
 staples removably stored in the staple cavities, wherein the staples are ejected from said the cavities and deformed against the anvil during a staple firing stroke; and 
 a circuit comprising (i) an active element configured to apply, when energized, a pressure to the patient tissue positioned between the deck and the anvil and (ii) a sensor configured to take impedance measurements of the patient tissue positioned between the deck and the anvil, wherein the circuit is configured to communicate the impedance measurement to the communication hub, wherein the communication hub is external to the surgical stapling tool, and wherein the robotic surgical system uses the impedance measurement to control the firing motor control circuit. 
 
     
     
       5. A surgical stapling tool for use with a robotic surgical system, the surgical stapling tool comprising:
 an end effector, comprising:
 an anvil jaw; and 
 a channel; 
 
 a replaceable staple cartridge configured to be seated in the channel, wherein the replaceable staple cartridge comprises:
 a deck; 
 staple cavities defined in the deck; and 
 staples removably stored in the staple cavities, wherein the staples are ejected from the staple cavities and deformed against the anvil during a staple firing stroke; 
 an active element configured to deform in shape when energized to apply a pressure to the patient tissue positioned between the deck and the anvil; 
 
 a sensor configured to detect an impedance of patient tissue positioned between the anvil and the deck of the replaceable staple cartridge over a period of time while the active element applies the pressure to the patient tissue, wherein the sensor is configured to communicate with a remote communication hub positioned remote to the surgical stapling tool to provide data indicative of the detected impedance to the remote communication hub. 
 
     
     
       6. The surgical staling tool of  claim 5 , wherein the remote communication hub is configured to control an operating parameter of the surgical stapling tool using the detected impedance. 
     
     
       7. The surgical stapling tool of  claim 5 , wherein the robotic surgical system comprises a closure motor operable to move the end effector from an open position to a clamped position, wherein the remote communication hub is in communication with a closure motor control circuit of the robotic surgical system, and wherein the remote communication hub is configured to control the closure motor through the closure motor control circuit. 
     
     
       8. The surgical stapling tool of  claim 5 , wherein the robotic surgical system comprises a closure motor operable to move the end effector from an open position to a clamped position during a closure stroke, wherein the remote communication hub is configured to control the closure motor using the impedance measurements received from the sensor. 
     
     
       9. The surgical stapling tool of  claim 5 , wherein the robotic surgical system comprises a firing motor operable to move a firing member through the staple firing stroke, wherein the remote communication hub is in communication with a firing motor control circuit of the robotic surgical system, and wherein the remote communication hub is configured to control the firing motor through the firing motor control circuit. 
     
     
       10. The surgical stapling tool of  claim 5 , wherein the robotic surgical system comprises a firing motor operable to move a firing member through the staple firing stroke, wherein the remote communication hub is configured to control the firing motor using the impedance measurements received from the sensor.

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